Comment by the_d3f4ult

I’m an ophthalmologist. The answer is that junior partners are brought on at a below-market-rate salary with the promise of future equity (usually under false pretenses) in the practice and a super restrictive non-compete agreement. The senior partners then take their golden parachute and sell-out the field and the junior partners to the PE finance bros. One then has to choose between selling their house, uprooting their family and taking the financial risk that comes with starting a practice in a new location (due to the non-compete) or continuing to work for the PE firm as they devolve to more and more unethical business practices. Eventually your choices are either go into solo practice or work for PE